Connected Communities, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CONNECTED COMMUNITIES, LLC

Practice address

1802 Brightseat Rd Ste 101
Landover, MD 20785-4244

Phone

(240) 765-8512

NPI assigned

Sep 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jelani Jackson

Title

Ceo

Phone

(240) 765-8512

Specialties & licenses 1

Addresses

Tax ID family

Connected Communities LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Connected Communities, LLC

  • Community/Behavioral Health Agency
  • Landover, MD
  • NPI 1194497156
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1720750789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 BRIGHTSEAT RD STE 101",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854244",
            "telephone_number": "240-765-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRIGHTSEAT RD STE 101",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854244",
            "telephone_number": "240-765-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED COMMUNITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JELANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-765-8512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lionel Coleman
• Erica Collins
• Computer Information Services & Healthcare Inc.
• Concentra Health Services, Inc.
• Connected Communities, LLC
• Connected IV Life
• Julia Conner
• Loren Cordova
• Donte Corley
• Brayden Coulter

• Mental Health Clinic/Center (Including Community Mental Health Center) in Landover, MD
• Providers in Landover, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.